| NPI | 1437860111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61492048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61327821) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-10-08 |